| NPI | 1700272523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28270181A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4063800) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2026-09-22 |